Health Record System
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IT Security Operational Maturity: Why You Need More Than Personal Heroism and Silver Bullets
This white paper illustrates the many business drivers shaping IT security, emerging risks, and the need to transform your security program into one that’s operationally mature. After reading this white paper, you’ll understand how to direct investments in your organization’s IT security program to achieve security results that are consistent, reliable, effective, affordable, and auditable.

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ITO Trends in the Mid-Market: Overcoming Challenges in the Current Climate
Paul Roehrig, one of Forrester’s leading analysts in the IT outsourcing space, and Anthony D’Ambrosi, COO of CIBER’s IT Outsourcing Division, discuss challenges based on recent yet-to-be published research on the mid-market space.

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Local Government Emergency Services: Setting Yourself Up for Success
This article, by CIBER’s A.J. Briding first appeared in IAEM Bulletin in October 2007

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04 Sep 2008
CIBER Wins $19 Million SAP Support Contract for Pennsylvania Turnpike Commission
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27 May 2008
CIBER Expands Presence in Little Rock
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Montgomery County, MarylandCIBER has won a $22.6 million contract with Montgomery County, Maryland to replace legacy information technology system with Oracle’s E-Business Suite.

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Louisiana Department of Health and Hospitals
Louisiana Office of Public Health Selects CIBER for New WIC IT System
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Louisiana Department of Revenue, Office of Charitable Gaming
CIBER Builds Solutions to Automate Data Gathering
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“We are thrilled to begin this project. The Lawson system will help greatly improve our business processes and generate a substantial return on investment. CIBER has clearly demonstrated their ERP public sector expertise, and we’re confident in their ability to execute.”

Andrea Casselton — CIO, City of Saint Paul, MN

For more information about our Health Record System services & solutions, please contact:

303.267.3876
rcaputo@ciber.com

Robin Caputo
VP, Marketing

 

Health Record System

The Problem: State revenues are down, deficits are up, and Medicaid spending is growing

The Medicaid Management Information Systems (MMIS) in place at most state Medicaid agencies date back to the mid-1990s. They were created as a tool to process claims for Medicaid medical services, but in the last 15 years, advances in technology have made these systems antiquated and their functionality limited. In addition, Medicaid spending has grown nearly 10% annually*, many states face budget crises, resources are stretched thin, and the national economy has hit a bump. Medicaid agencies are being asked to deliver more services for less money.

The Solution: Provide efficient MMIS management tools and processes.

CIBER created the Health Record System to help state Medicaid agencies tackle this problem. The Health Record System provides agencies with an integrated, clinical view of beneficiaries selected for utilization review and case management. The system communicates this information to providers, and allows real-time prior authorization processing. In short, the system helps agencies efficiently manage processing and reporting tasks, so they can realize significantly lower costs and higher productivity.

CIBER’s Health Record System creates an integrated care system that virtually eliminates the risk of accidentally overlooking a procedure or treatment. It can help your state health agency:

  • Enhance medical record research
  • Manage clinical cases more effectively
  • Eliminate inappropriate treatment

The clinical record management component of the Health Record System removes some functions from the agency’s existing core claims processing system and combines those functions with new ones to increase efficiency:

  • Prior Authorization (PA) processing: Prior Authorization allows users to review, assess, pre-approve and manage selected non-emergency medical and therapeutic services and equipment prior to delivery.
  • Health Indicators (HI) processing: Health Indicators processing produces a set of measurable outcomes, screening, test results, and procedures that reflect progress toward preventing and lessening the effects of disabling disease conditions.
  • Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) processing: EPSDT data is used to generate notices informing beneficiaries age 21 or under of available Medicaid benefits. EPSDT also tracks volume and payments, maintains an immunization tracking system, and generates data required for federal reporting.
  • Case Tracking (CT): Case Tracking enables nurse reviewers in state health agencies, as well as state quality management staff, to easily access critical information about selected groups of beneficiaries.
     

State of Vermont

CIBER Health Records System Saves State of Vermont More Than $7 Million Annually

The State of Vermont’s MMIS system was introduced in 1986 to process Medicaid medical services claims. Since 1992, however, the demands on the MMIS have grown in scope to include claims processing for state-funded waiver programs, general assistance, and state-supported public and mental health programs.

In 2001, the state realized it needed to reconfigure the Vermont MMIS to connect the many offices and providers using the system, to eliminate redundancy, to increase efficiency, and to allow users to access Medicaid records via the Web.

The Office of Vermont Health Access (OVHA) tapped CIBER to create an electronic record system to organize and present all relevant clinical beneficiary data. CIBER implemented its Health Record System, and linked the clinical record management component of it to its users, allowing them to access the system remotely via the Internet and populate the system with MMIS information.

Since its implementation, CIBER’s Health Record System is estimated to be saving the State of Vermont more than $7 million annually.

___________________

* National Association of State Budget Officers (NASBO) report, Medicaid and Other State Healthcare Issues: Current Trends, June 2003.

 



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